03D2209294 CLIA NUMBER - REVIVE COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 03D2209294
  • Facility Name: REVIVE COMMUNITY HEALTH
  • Facility Address: 4700 S MCCLINTOCK STE 140
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 590-0787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJA MURPHY
  • NPI Number: 1154915056
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2209294
LAB Type Physician Office
Facility Name REVIVE COMMUNITY HEALTH
Street 4700 S MCCLINTOCK STE 140
City TEMPE
State AZ
ZIP 85282
Phone 480 590-0787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director AJA MURPHY

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This page was last updated on: 9/29/2025